SWM-23036-68424
3 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Lethargy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: LethargicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Both arms have spontaneous rash that are itchy but subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, DiarrheaAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Hypersensitivity — Feeling: GoodFree text: AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-06
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I still have enlarged lymph nodes on left axilla since first vaccination in 01/2021MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-09
Call successfulParticipant prefers to complete VAERS report online
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2022-02-18
Dose 3 — Pfizer-BioNTech
-
2022-05-20
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-02-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Hot flashes
Systemic reaction (other): Lethargic
Systemic reaction (other): Both arms have spontaneous rash that are itchy but subsided
Release 8 — 3 months, dose 2
Symptoms: Allergies
Release 11 — 12 months, dose 2
Symptoms: I still have enlarged lymph nodes on left axilla since first vaccination in 01/2021
Release 11 — 3 months, dose 3
Symptoms: Pregnant
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release